Inspection · 2023-01-25

Based on record review and staff interview, the licensee did not obtain a copy of the results of a criminal history record information check and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

Evidence: Staff #3?s, first date of employment October 18, 2022, did not contain out of state criminal records checks for Alabama where they had lived within the last five years.

Based on observation, licensee failed to ensure electrical outlets have protective covers in areas where preschool age children are served.

Evidence: In the Early Preschool (2's) room, 3 electrical outlets were observed without covers. Each outlet was lower to the floor and within reach of children.

Based on observation, licensee failed to ensure children under 10 years of age are always within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom provided certain requirements are met.

Evidence: At approximately 2:05 PM, 1 staff member was observed with 21 children in the Early Preschool (2's) classroom. Staff member was observed going into the restroom in the rear of the classroom and changing a child's diaper. While changing the child's diaper, the children in the room were not within sight supervision of staff.

Based on observation, the licensee did not ensure there is at least one staff for every four children for groups with infant age children (birth up to 16 months old).

Evidence: At approximately 1:50 PM, staff #4 was observed with 6 children in the waddlers classroom which has children age 10 months to 16 months old. Staff reported no one else was working with her today in the classroom.

Based on observation, licensee failed to ensure there is at least 1 staff member with 16 children during the designated rest time when the group includes children age 2 years.

Evidence: At approximately 2:05 PM, 1 staff was present in the Early Preschool (2's) room with 21 children. Children were observed napping.

Based on interview, licensee failed to ensure there is a written procedure for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies.

Evidence: Director stated there is not a written procedure addressing prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies.

Based on observation, licensee failed to ensure there is at least 12 inches of space between occupied cots and rest mats.

Evidence: In the Early Preschool (2's) room, 5 cots were observed approximately 5"-6" apart from each other.

Based on observation, licensee failed to ensure prepared infant bottles are dated and labeled with the child's name.

Evidence: In the Waddlers (10 months - 16 months) room, 3 of 6 prepared bottles were not labeled with the child's name and date.

Based on record review and licensee interview, the licensee did not ensure to maintain an up-to-date record for each enrolled child with all the required information.

Evidence: The licensee confirmed the following items were missing from the children?s records that were reviewed: The records for child #1, child #3, and child #5 did not include the employment phone # for one or more parents listed.

Based on a review of children?s records and staff interview, the licensee did not ensure there was a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Evidence: Child # 4 has a diagnosed food allergy (kiwi, peanut, egg, tree nuts). The child?s record did not include a written care plan, to include instructions from a physician.

Based on a review of staff records and staff interview, the licensee did not ensure staff records included documentation that two or more references as to character and reputation as well as competency were checked before employment.

Evidence: The following records had inadequate reference check information:

1. The record for staff #3 did not include a second reference check.

2. The record for staff #1, 2, and 5 did not include reference check documentation.